Provider Demographics
NPI:1407299266
Name:ALLEN, TAMI VIENN (LPC)
Entity Type:Individual
Prefix:MS
First Name:TAMI
Middle Name:VIENN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 CLOUDBURST LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2156
Mailing Address - Country:US
Mailing Address - Phone:713-851-5091
Mailing Address - Fax:
Practice Address - Street 1:2209 CLOUDBURST LN
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2156
Practice Address - Country:US
Practice Address - Phone:713-851-5091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-11
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70664101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional